1 Titles and legends to supplementary tables and figures: Table S1a: BDI for rs7757037, rs4713899, rs9368881, and rs1360780 by abuse Table S1b: Numbers for rs7757037, rs4713899, rs9368881, and rs1360780 by abuse Table S2: Estimated means (95% CI) of BDI-II values across groups of the putative interaction between rs1360780 and physical Table S3a: Estimated means (95% CI) of BDI-II values across groups of the putative interaction between rs1360780 and the five CTQ dimensions Table S3b: Numbers for the corresponding Table S3a Table S4. Overall severe abuse Table S5: Pairwise correlation coefficients between the five CTQ dimensions. Table S6: Covariate values, observed outcome MDD, estimated logistic probability (π) of MDD, and the value of the four diagnostic statistics ∆β, ∆X², ∆D, and leverage (h) for the four most extreme covariate patterns. Table S7: Estimated coefficients from all data and when the covariate patterns of each of the subjects (1-4) with the most extreme covariate patterns are deleted. Figure S1: LD plot based on n=4081 subjects from SHIP-0 (Haploview 4.1). Four SNPs from the Affymetrix Human SNP Array 6.0 met the following criteria: Call rate > 95%, HWE >0.01 and MAF> 0.1. The linkage disequilibrium (LD) among the SNPs is depicted as r-squared with complete LD =1 (black) and no LD =0 (white). Figure S2: Physical Position of rs7757037, rs4713899, re1360780 and rs9368881 on the FKBP5 gene based on HapMap Data Rel 28 Phase II+III, August 10, on NCBI B36 assembly. The FKBP5 gene spans 115.3 kbp on chromosome 6, position 35,649,346 bis 35,764,692. Figure S3: The MDS components were calculated using PLINK and the results were plotted in R. SNPs were used as basis for generating the multidimensional scaling (MDS) plot that were available in both the HapMap III r3 dataset and in the imputed dataset of the SHIP cohort (described 2 in the Methods section), fulfilling the following QC criteria: HWE test p-value > 10-6, SNP call rate > 95%, minor allele frequency > 1%. Finally, 494,375 SNPs went into the analysis. ASW : African ancestry in Southwest USA CEU : Utah residents with Northern and Western European ancestry from the CEPH collection CHB : Han Chinese in Beijing, China CHD : Chinese in Metropolitan Denver, Colorado GIH : Gujarati Indians in Houston, Texas JPT : Japanese in Tokyo, Japan LWK : Luhya in Webuye, Kenya MEX : Mexican ancestry in Los Angeles, California MKK : Maasai in Kinyawa, Kenya TSI : Tuscan in Italy YRI : Yoruban in Ibadan, Nigeria (West Africa) SHIP: SHIP-LEGEND sample, northeast of Germany Figure S4: The positive and negative predictive values of the TT genotype are based on a sensitivity=22.2% and specificity =95.7% (reflecting our values: 6/(6+21) and 67/(67+3) in subjects with physical abuse) for the MDD endpoint. Note that the positive and negative predictive values apply for subjects with childhood physical abuse only. 3 Table S1a: BDI for rs7757037, rs4713899, rs9368881, and rs1360780 by abuse (if not stated otherwise then none/mild versus moderate/severe) * p<0.05, note: rs4713899 has a cell number of only 1 in the last column. None/mild Abuse SNP Moderate/severe 0 1 2 0 1 2 rs7757037 rs4713899 rs1360780 rs9368881 GG GG CC GG AG AG CT AG AA AA TT AA GG GG CC GG AG AG CT AG AA AA TT AA Physical abuse rs7757037 rs4713899 rs1360780 rs9368881 4.6 (3.9 – 5.3) 5.1 (4.6 – 5.5) 5.2 (4.7 – 5.7) 5.2 (4.7 – 5.8) 5.1 (4.6 – 5.7) 5.0 (4.3 – 5.7) 5.0 (4.4 – 5.5) 4.9 (4.3 – 5.4) 5.4 (4.6 – 6.2) 4.4 (1.7 – 7.1) 4.3 (3.0 – 5.7) 4.9 (3.8 – 6.1) 10.6 (7.1 – 14.2) 9.4 (7.4 – 11.5) 10.3 (7.8 – 12.7) 11.4 (8.8 – 13.9) 10.1 (7.9 – 12.4) 12.9 (9.9 – 16.0) 9.6 (7.2 – 12.1) 8.7 (6.3 – 11.1) 12.4 (8.8 – 16.0) 15.5 (6.1 – 25.0) 17.4 (12.0 – 22.9) * 16.8 (11.7 – 22.0) Emotional abuse rs7757037 rs4713899 rs1360780 rs9368881 4.6 (3.9 – 5.3) 5.0 (4.5 – 5.4) 5.1 (4.6 – 5.6) 5.1 (4.6 – 5.7) 5.0 (4.5 – 5.5) 5.1 (4.4 – 5.8) 4.9 (4.4 – 5.5) 4.8 (4.3 – 5.4) 5.4 (4.6 – 6.2) 4.4 (1.7 – 7.1) 4.4 (3.1 – 5.7) 5.0 (3.9 – 6.2) 13.0 (8.6 – 17.3) 13.7 (11.5 – 15.8) 14.4 (11.9 – 17.0) 14.3 (11.7 – 16.8) 14.0 (11.5 – 16.5) 14.0 (10.0 – 18.0) 12.5 (9.4 – 15.5) 12.7 (9.6 – 15.7) 14.5 (10.9 – 18.1) 31.2 (15.1 – 47.4) * 17.3 (11.1 – 23.4) 17.3 (11.1 – 23.4) Sexual abuse rs7757037 rs4713899 rs1360780 rs9368881 4.7 (4.0 – 5.5) 5.2 (4.7 – 5.6) 5.3 (4.7 – 5.8) 5.3 (4.8 – 5.9) 5.2 (4.7 – 5.8) 5.2 (4.4 – 5.9) 5.1 (4.5 – 5.7) 5.0 (4.4 – 5.5) 5.5 (4.7 – 6.3) 4.5 (1.8 – 7.2) 4.6 (3.3 – 6.0) 5.2 (4.0 – 6.4) 5.9 (2.0 – 9.9) 7.5 (5.2 – 9.9) 8.8 (6.1 – 11.5) 8.8 (6.0 – 11.6) 8.7 (5.9 – 11.6) 9.3 (5.9 – 12.7) 6.9 (3.8 – 10.1) 7.0 (4.0 – 10.1) 9.7 (6.3 – 13.1) 18.2 (6.6 – 29.9) 10.6 (5.6 – 15.7) 10.7 (5.6 – 15.7) Overall: none/mild versus moderate/severe abuse rs7757037 rs4713899 rs1360780 rs9368881 4.5 (3.8 – 5.3) 4.9 (4.4 – 5.3) 5.0 (4.4 – 5.6) 5.0 (4.4 – 5.6) 4.9 (4.4 – 5.4) 4.8 (4.1 – 5.5) 4.8 (4.2 – 5.4) 4.7 (4.2 – 5.3) 5.2 (4.4 – 6.0) 4.1 (1.3 – 7.0) 4.3 (3.0 – 5.7) 4.9 (3.7 – 6.1) 8.2 (5.7 – 10.7) 9.0 (7.5 – 10.4) 9.7 (8.0 – 11.5) 10.3 (8.5 – 12.1) 9.5 (7.8 – 11.1) 10.2 (8.0 – 12.5) 8.7 (6.9 – 10.5) 8.1 (6.3 – 9.9) 10.5 (8.0 – 12.9) 13.0 (4.8 – 21.1) 11.3 (7.1 – 15.4) 11.3 (7.3 – 15.3) none/mild/moderate Overall: none/mild/moderate versus severe abuse rs7757037 rs4713899 rs1360780 rs9368881 4.6 (3.9 – 5.3) 5.0 (4.5 – 5.4) 5.2 (4.6 – 5.7) 5.2 (4.7 – 5.8) 5.1 (4.6 – 5.6) 5.2 (4.5 – 5.9) 5.0 (4.4 – 5.6) 4.9 (4.3 – 5.4) severe 5.5 (4.7 – 6.3) 4.4 (1.6 – 7.1) 4.4 (3.1 – 5.7) 5.0 (3.8 – 6.2) 13.9 (9.4 – 18.5) 12.4 (10.2 – 14.6) 12.2 (9.5 – 14.9) 12.0 (9.3 – 14.7) 10.7 (8.2 – 13.2) 9.3 (5.4 – 13.2) 9.9 (7.0 – 12.9) 10.2 (7.3 – 13.1) 13.3 (9.3 – 17.3) 31.0 (14.6 – 47.3) * 20.2 (13.5 – 26.8) * 20.2 (13.5 – 26.8) * 4 Table S1b: Numbers for rs7757037, rs4713899, rs9368881, and rs1360780 by abuse adjusted for sex, age and number of adult traumata. none factor mild moderate severe 0 1 2 0 1 2 0 1 2 0 1 2 rs7757037 rs4713899 rs1360780 rs9368881 GG GG CC GG AG AG CT AG AA AA TT AA GG GG CC GG AG AG CT AG AA AA TT AA GG GG CC GG AG AG CT AG AA AA TT AA GG GG CC GG AG AG CT AG AA AA TT AA Physical abuse rs7757037 rs4713899 rs1360780 rs9368881 559 1399 943 847 960 519 855 905 423 38 158 203 19 65 43 39 54 26 42 46 17 0 6 6 14 34 22 20 30 19 29 30 10 2 4 5 7 31 21 21 24 10 16 16 11 1 5 5 Emotional abuse rs7757037 rs4713899 rs1360780 rs9368881 533 1351 915 821 929 503 821 871 414 36 154 197 49 118 71 64 92 52 93 97 29 2 8 11 5 29 22 22 25 11 15 15 10 0 3 3 9 30 19 19 17 5 13 13 10 1 4 4 Sexual abuse rs7757037 rs4713899 rs1360780 rs9368881 557 1429 950 850 1000 521 881 202 416 39 158 202 19 47 39 40 35 26 30 29 19 0 4 4 15 43 30 28 22 13 20 22 20 1 7 7 4 9 8 8 13 11 9 9 4 1 4 4 Overall: none/mild versus moderate/severe abuse rs7757037 rs4713899 rs1360780 rs9368881 543 1377 922 827 955 514 850 901 413 35 154 197 44 135 93 88 101 53 83 87 46 4 16 17 573 1456 978 879 1011 548 900 954 442 38 164 208 13 55 37 36 44 18 31 32 17 1 6 6 Overall: rs7757037 none/mild/moderate rs4713899 versus severe abuse rs1360780 rs9368881 5 Table S2: Estimated means (95% CI) of BDI-II values across groups of the putative interaction between rs1360780 and physical abuse 1.) without considering PTSD, 2.) adjusting for PTSD and 3.) excluding cases with PTSD. Environment factor Environment factor absent; CT or CC Environment factor absent; TT Environment factor present; CT or CC Environment factor present; TT n BDI-II* n BDI-II* n BDI-II* n BDI-II* 1. Adjusted for age, gender and number of traumata 1881 5.1 (4.7 – 5.5) 164 4.3 (3.0 – 5.7) 88 10.0 (8.2 – 11.7) 9 17.4 (12.0 – 22.9) 2. Adjusted for age, gender, number of traumata and PTSD 1881 Interaction effect/ P value 8.2 (2.3 – 14.1)# 0.006 5.1 (4.8 – 5.5) 4.5 (3.2 – 5.8) 88 9.3 (7.6 – 11.1) 9 15.4 (9.9 – 20.8) 6.7 (0.9 – 12.5)§ 0.024 3. Restricted to no 1863 5.0 (4.6 – 5.4) 164 4.4 (3.1 – 5.7) PTSD *Estimated means (95% CI) # Interaction effect for the first row: 17.4 – 10.0 – (4.3 – 5.1) = 8.2 (95% CI) § Interaction effect for the second row: 15.4 – 9.3 – (4.5 – 5.1) = 6.7 (95% CI) $ Interaction effect for the third row: 17.0 – 9.4 – (4.4 – 5.0) = 8.3 (95% CI) 81 9.4 (7.6 – 11.1) 7 17.0 (11.0 – 23.0) 8.3 (1.9 – 14.7)$ 0.011 164 6 Table S3a: Estimated means (95% CI) of BDI-II values across groups of the putative interaction between rs1360780 and the five CTQ dimensions adjusted for age (restricted cubic splines), sex, and number of adult traumata. Mild, moderate and severe abuse or neglect groups are compared each to none (reference category). factor none (reference for the related interaction test) CT or CC TT mild CT or CC moderate TT CT or CC related interaction test severe TT CT or CC related interaction test Global test for interaction TT P value related interaction test Physical abuse 5.0 (4.6 – 5.4) 4.4 (3.1 – 5.7) 6.9 (5.1 – 8.7) 2.8 (-4.1 – 9.8) P=0.355 9.7 (7.3 – 12.0) 19.0 (10.8 – 27.1) P=0.023 10.4 (7.8 – 13.1) 16.2 (8.9 – 23.5) P=0.112 0.036 Emotional abuse 4.7 (4.3 – 5.1) 4.3 (2.9 – 5.6) 8.5 (7.2 – 9.7) 7.3 (1.6 – 12.9) P=0.806 11.2 (8.5 – 13.9) 7.2 (-2.3 – 16.7) P=0.484 16.5 (13.7 – 19.3) 24.7 (16.7 – 32.7) P=0.048 0.208 Sexual abuse 5.1 (4.7 – 5.5) 4.5 (3.2 – 5.9) 7.7 (5.7 – 9.7) 9.7 (1.5 – 17.9) P=0.547 7.2 (4.8 – 9.5) 2.8 (-3.6 – 9.3) P=0.297 10.6 (6.6 – 14.6) 23.6 (15.4 – 31.8) P=0.004 0.019 Physical neglect 4.0 (3.5 – 4.5) 3.7 (2.0 – 5.3) 6.7 (5.9 – 7.4) 5.5 (2.5 – 8.5) P=0.634 8.5 (7.4 – 9.6) 8.2 (5.2 – 12.3) P=0.988 7.9 (6.1 – 9.6) 11.5 (4.1 – 18.8) P=0.324 0.725 Emotional neglect 4.0 (3.5 – 4.4) 4.0 (2.4 – 5.7) 6.5 (5.8 – 7.2) 6.3 (3.8 – 8.7) P=0.824 8.7 (7.1 – 10.3) 0.6 (-5.2 – 6.4) P=0.011 10.3 (8.8 – 11.7) 11.0 (6.1 – 15.8) P=0.816 0.080 7 Table S3b: Numbers for the corresponding Table S3a factor none mild moderate severe CT or CC TT CT or CC TT CT or CC TT CT or CC TT Physical abuse 1798 158 85 6 51 4 37 5 Emotional abuse 1736 154 164 8 37 3 32 4 Sexual abuse 1831 158 69 4 50 7 17 4 Physical neglect 1193 105 447 31 223 29 86 5 Emotional neglect 1203 105 505 43 107 10 129 11 8 Table S4. Overall severe abuse; adjusted for age (restricted cubic splines), sex, and number of adult traumata factor abuse none or mild or moderate severe Test for interaction CT or CC TT CT or CC TT n=1878 n=164 n=68 N=6 P value 5.1 (4.7 – 5.5) 4.4 (3.1 – 5.7) 11.2 (9.1 – 13.2) 20.2 (13.5 – 26.8) 0.007 9 Table S5: Pairwise correlation coefficients between the five CTQ dimensions. Physical abuse Emotional abuse Sexual abuse Physical neglect Emotional neglect Physical abuse 1 0.42 0.13 0.23 0.35 Emotional abuse 0.56 1 0.21 0.23 0.39 Italic: four levels of severity Standard: dichotomous (none to mild versus moderate to severe) Sexual abuse 0.20 0.30 1 0.06 0.11 Physical neglect 0.28 0.29 0.11 1 0.40 Emotional neglect 0.41 0.46 0.13 0.54 1 10 Table S6: Covariate values, observed outcome MDD, estimated logistic probability (π) of MDD, and the value of the four diagnostic statistics ∆β, ∆X², ∆D, and leverage (h) for the four most extreme covariate patterns. subject age female TT 1 2 3 4 52.5 79.0 50.6 85.1 0 0 1 0 1 0 1 1 Physical abuse 1 0 1 0 Number of traumata 0 1 1 4 MDD π h ∆X² ∆D ∆β 0 1 0 1 0.45 0.03 0.75 0.07 0.139 0.002 0.103 0.014 0.9 29.0 3.4 13.7 1.4 6.8 3.1 5.4 0.151 0.070 0.387 0.191 11 Table S7: Estimated coefficients from all data and when the covariate patterns of each of the subjects (1-4) with the most extreme covariate patterns are deleted. variable Intercept Age, 1st parameter of the RCS Age, 2nd parameter of the RCS Age, 3rd parameter of the RCS Age, 4th parameter of the RCS Female Number of traumata TT Physical abuse TT*Physical abuse RERI 90% CI 95% CI RCS: restricted cubic spline All data -2.566 0.008 -0.063 0.215 -0.645 0.806 0.494 0.042 0.292 1.768 6.80 0.99 – 26.3 0.46 – 33.7 1 -2.557 0.008 -0.059 0.199 -0.617 0.801 0.492 0.042 0.292 2.066 9.64 1.34 – 42.9 0.68 – 56.3 2 -2.600 0.009 -0.068 0.241 -0.712 0.815 0.501 0.046 0.292 1.766 6.81 0.99 – 26.4 0.46 – 33.8 Covariate pattern deleted 3 4 -2.593 -2.606 0.008 0.009 -0.063 -0.075 0.209 0.276 -0.629 -0.788 0.812 0.812 0.496 0.493 0.042 0.0002 0.291 0.290 2.262 1.809 12.02 6.83 1.91 – 53.0 1.03 – 26.3 1.12 – 69.7 0.51 – 33.6 All four -2.660 0.010 -0.077 0.278 -0.809 0.821 0.499 0.004 0.290 2.878 22.51 2.52 – 146.0 1.38 – 207.5 12 Supplementary Methods The modified bootstrap approach was performed using the packages “glmnet”1 and “boot” 2 of the free ware R, version 2.11.1.3 In more detail: For bootstrap samples with numeric problems a nonparametric bootstrap with constrained maximum likelihood estimate via regularized logistic regression was performed by following function: reri<-function(datsam,i){ daten<-datsam[i,] x<- cbind(daten[,1], daten[,2], daten[,3], daten[,4], daten[,5] , daten[,6] , daten[,7] , daten[,9], daten[,10]) y<-daten[,8]+1 fitlr<-glm(y-1~x[,1]+x[,2]+x[,3]+x[,4]+x[,5] +x[,6] +x[,7] +x[,8]+x[,9],family="binomial") norml1<-abs(fitlr$coef[6])+abs(fitlr$coef[7])+abs(fitlr$coef[8]) if (is.na(norml1)==TRUE | norml1>=10) {fitlr2= glmnet(x,y,family="binomial", alpha=1) forRERI<-coef(fitlr2,s=0.01) return(exp(forRERI[6]+forRERI[7]+forRERI[8])-exp(forRERI[6])-exp(forRERI[7])+1)} else return(exp(fitlr$coef[6]+fitlr$coef[7]+fitlr$coef[8])-exp(fitlr$coef[6])-exp(fitlr$coef[7])+1) } Different constraints were set for “norml1”: In the range from 6 to 13 the results were stable with regard to standard errors and biases of bootstrapping. A constraint greater than 14 was not appropriate because this resulted in large standard errors and biases. A constraint smaller than 6 yielded standard errors and biases that were too small. References: 1. 2. 3. Friedman J, Hastie T, Tibshirani R (2010). Regularization Paths for Generalized Linear Models via Coordinate Descent. Journal of Statistical Software, 33(1), 1-22. URL http://www.jstatsoft.org/v33/i01/. Canty A and Ripley B (2010). boot: Bootstrap R (S-Plus) Functions. R package version 1.2-42. R Development Core Team (2010). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. ISBN 3-90005107-0, URL http://www.R-project.org.